Getting surgery to remove an extremely painful bunion may seem like an easy decision. But what if you were told the painful bunion you sought to remove had a chance of coming back again months later? Studies show recurrence rates as high as 25% for bunions. In fact, here at the Center for Podiatric Care and Sports Medicine, correcting failed bunion repairs done by other local surgeons accounts for nearly a third of our business.
However, our center’s 40+ years of bunion surgeries mean we’re better at selecting the right candidates, more adept at operating, and skilled at identifying who is at risk for failed surgery. This means we can give you a more accurate answer if you find yourself wondering, “How often is bunion surgery successful?” In fact, a new study published in The Journal of Bone & Joint Surgery identifies one tell-tale way of predicting whether your bunion will return over time.
The only way to get rid of bunions is to have them surgically removed. That’s the bad news. But the good news is that minimally invasive bunion surgery and fast bunion surgery recovery is possible. In the past, patients could expect a 2-inch scar and at least six weeks of immobilization. Last spring, though, a new type of bunion microsurgery came to Mount Sinai Hospital that involves a tiny 2-3 millimeter incision combined with live X-ray and a burr tool to shave down the bone into a removable paste.
As gruesome as it may sound, most patients experience no pain with proper management and get back on their feet within three weeks. So the question many people have for our NYC foot specialists is not so much if they should have the surgery, but when. Three weeks is still nothing to sneeze at when we’re talking about immobility, so let’s consider the best time of year to get bunion surgery, based on the pros and cons of each season.
Jenn F. on
Wednesday, November 22nd, 2017
Dr. Josef J. Geldwert is one of the few New York City surgeons trained in percutaneous bunion surgery. Minimally invasive foot surgeries are popular for lateral ankle stabilization, ankle fusion, osteochondral lesions, calcaneal fractures, and calcaneal osteotomies, but poor results in the 70’s and 80’s caused American podiatric surgeons to shy away from non-invasive methods of bunion correction—that is, until now.
The first percutaneous bunionectomy was performed by another local surgeon at Mount Sinai Hospital last spring. “Though it’s relatively new here, it’s popular with European orthopedists,” explains Dr. Geldwert. “Some doctors are waiting to see more favorable clinical research results, but trade publications like Podiatry Today are abuzz with news of the microsurgery.”
The best bunion surgery depends on the method the surgeon is most comfortable performing and individual contraindications. For eligible patients, “The obvious advantages for the patient are immediate weight-bearing and the fact that it’s minimally invasive,” Dr. Geldwert says. Still, it’s important to understand all the facets of percutaneous bunion surgery in order to find out if it’s the ideal bunion correction method for you.
Jenn F. on
Wednesday, November 8th, 2017
Bunions are one of the most common foot issues our board-certified podiatrists and surgeons treat here at The Center for Podiatric Care and Sports Medicine office in White Plains. It can be scary when patients first notice a big “bump” on their big toe—especially since there is a lot of misinformation out there about what bunions are, how they progress, and how they are treated. Here, we’ll delve into five facts about bunions so you can have a better idea of how bunions develop and treatment options.
Mount Sinai recently became the first and only hospital in the state of New York to offer the new percutaneous foot surgery for bunions and hammertoes. This is exciting news, as our NYC foot surgeons are continually looking for innovative ways to help patients recover faster and more efficiently. Following the success of the pilot program, percutaneous foot surgery may become an option for patients looking for quicker recoveries from injury or pain.
People with a predisposition toward bunions start to notice abnormal developments around their big or small toes by the time they reach their twenties or thirties. Bunions can strike at any age, however, according to the Manhattan podiatrists at The Center for Podiatric Care and Sports Medicine. Kids can even develop surprisingly adult-like bunions at very young ages. “We recommend that parents hold off on surgical considerations until the child has reached skeletal maturity and the growth plates have closed,” says Dr. Josef J. Geldwert, DPM. He says this occurs between 13-15 for girls and 15-17 for boys. In the meantime, there are conservative measures that may prevent the bunion from getting worse.
Hispanics and Latinos make up 27.5% of New York City’s population. This group suffers from foot pain and health issues like any other, yet they tend to be more reluctant to seek professional help. The first step toward wellness is asking your primary doctor to check your feet and give you a referral to a foot and ankle specialist who can offer state-of-the-art care. Dr. Mariola Rivera, DPM is a friend to Hispanics and Latinos in the New York City area who are looking for a Spanish-speaking, board-certified podiatrist to add to their healthcare team.
Jenn F. on
Wednesday, January 25th, 2017
Walking in White Plains is a great workout, but what about the aches and pains you’ve noticed lately? Are they cause for concern? Or are they just the inevitable side effect of daily walking? Our White Plains podiatrists have the answers! If you would like more personalized care, stop by to see us at 10 Mitchell Place in zip code 10601. We’d love to help you select the right footwear, fit you with a pair of custom orthotics, perform a gait analysis, treat foot pain with the latest technology, or answer any questions you may have.
When your feet hurt, you want the “best of the best” to treat your pain as quickly and effectively as possible. There is no time to goof around with improper diagnoses, lackluster treatments, or multiple revision surgeries. New Yorkers can get it right the first time by contacting Dr. Josef J. Geldwert at The Center For Podiatric Care and Sports Medicine.
Over the past four decades, this board-certified foot and ankle specialist has made a name for himself in the running community by treating the NY Road Runners Club, the Central Park Track Club, long-distance racers, and Olympic hopefuls. He’s worked the sidelines of races and tennis matches and served as official team podiatrist for professional lacrosse, soccer, and basketball teams. SOLS contacted Dr. Geldwert to serve on their medical advisory board as they launched their new brand of custom orthotics.
But did you know Dr. Josef Geldwert is also an expert bunion surgeon? Most recently, he designed and patented a new hallux valgus and tailor bunion plate. The Geldwert Plate is currently pending FDA approval, with an expected market release around July 1st, 2017.
If you go to a cosmetic foot surgeon and say, “This bunion is ugly. I want it gone,” no one will stop you. If you think it’s worth the pain and aggravation of surgery, plus a three to four-month recovery period, that’s your prerogative. But if you’re asking us – from a medical standpoint, as trained podiatric surgeons – if we feel you need surgery for your bunion, it’s another matter entirely.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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